PETERSEN PHYSICAL THERAPY PC (NPI# 1578673562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578673562 |
Entity Type | Organization |
Organization Name | PETERSEN PHYSICAL THERAPY PC |
Other Organization Name | INGLISH AND PETERSEN PHYSICAL THERAPY PC |
Practice Address |
1844 E Baseline Rd Ste C5 Tempe AZ 85283-1506 |
Practice Telephone | 4808331005 |
Practice Fax Number | 4808331312 |
Mailing Telephone | 4808331005 |
Mailing Fax Number | 4808331312 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-05-07 |
Authorized Official Name | ROBIN WACHTER (VP ADMINISTRATION) |
Authorized Official Telephone | 4808331005 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
AZ | Ambulatory Health Care Facilities | |
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Inglish and Petersen Physical Therapy | Doing Business As Name - Organization |
Inglish and Petersen Physical Therapy PC | Former Legal Business Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
725 W Elliot Rd Ste 103, Gilbert, AZ 852335301 | 4808922428 | 4808922418 |
303 N Centennial Way, Mesa, AZ 852016733 | 4805347598 | 4802195347 |
6840 E Brown Rd Ste 104, Mesa, AZ 852073759 | 4807198080 | 4809818535 |
21300 N John Wayne Pkwy Ste 125, Maricopa, AZ 851398978 | 5205682723 | 5205682865 |
Street Address |
1844 E BASELINE RD STE C5 |
City | TEMPE |
State | AZ |
Zip Code | 85283-1506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578193512 | Jennifer Engelbert | Physical Therapist | 1844 E Baseline Rd Ste C5, Tempe, AZ 85283-1506 | 2020-01-17 |
1710430020 | Edward Hunter Hardy | Physical Therapist | 1844 E Baseline Rd Ste C5, Tempe, AZ 85283-1506 | 2016-08-03 |
1841389699 | Jeffrey Petersen | Physical Therapist | 1844 E Baseline Rd Ste C5, Tempe, AZ 85283-1506 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
Find all providers in zip 85283 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760025621 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1700 E Elliot Rd Ste 16, Tempe, AZ 85284-1650 | 2019-10-23 |
1326691742 | Excel Sports Performance and Rehabilitation, LLC | Clinic/Center | 1828 E University Dr Ste 1, Tempe, AZ 85281-4275 | 2019-07-24 |
1932439031 | Physical Therapy of Tempe | Clinic/Center | 1030 E Baseline Rd Ste 178, Tempe, AZ 85283-1371 | 2010-01-12 |
1508015462 | Next Level Physical Therapy LLC | Clinic/Center | 4820 S Ash Ave, Suite 101, Tempe, AZ 85282-6733 | 2008-09-16 |
1649485723 | Usa Aquatic Fitness, Inc. | Clinic/Center | 209 E Baseline Rd, Suite E101, Tempe, AZ 85283-1269 | 2007-05-11 |
1639187313 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 950 West Southern Avenue, Tempe, AZ 85282-4512 | 2006-08-04 |
1083667729 | Physiotherapy Associates | Clinic/Center | 1025 E Broadway Rd, Suite 201, Tempe, AZ 85282-1599 | 2006-05-17 |
1114921871 | Vibrantcare Outpatient Rehabilitation West Inc | Clinic/Center | 4515 S Mcclintock Dr, Ste 110, Tempe, AZ 85282-7381 | 2005-06-10 |
1972004687 | Bhsm Rehabilitation, LLC | Clinic/Center | 1729 W Greentree Dr Ste 101, Tempe, AZ 85284-2712 | 2018-02-27 |
1730688508 | Occupational Health Centers of The Southwest, P.a. (az) | Clinic/Center | 1626 S Priest Dr Ste 101, Tempe, AZ 85281-6598 | 2018-02-07 |
Find all providers in TEMPE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.